Community Behavior Modification Model for Chronic Disease Risk Group in Haudon Sub-District, Khuang Nai District, Ubon Ratchathani Province.

Abstract

The purposes of this research were (1) to study the causes and guidelines for solving the health problems, (2) to build health behavior of the leader, (3) to study the effects of behavioral change, (4) to develop health behavior modification models of chronic diseases risks, 8 people in a risk group for developing health behavior modifications and leaders and 40 people who were a risk group regarding health behavior modifications. The methods employed were in-depth interviews and questionnaires. Analyze the data by descriptive statistics, presentation by percentage, mean, standard deviation and inferential statistics by comparing with the difference by Paired Sample t-test (0.05), content analysis for qualitative data.

The results revealed: (1) The main factors to create guidelines for health behavior modification including public health organization, motivation, attitude, self-efficacy, self-control, school of Elderly, club group, community rules and Family; (P-MA-3S-2C-1F Program), (2) according to building a health behavior modification leader analyzed the guidelines preparing the model and also had a revision of the model revision of implementation in risk groups which found that leaders had more self-efficacy, self-control, self-care (p<.01) than more health outcomes (p<.05) (3) the output of organized health behavior modification programs emphasizing that high risk groups had more self-efficacy and self-control (p<.05), more self-care (p<.01) at the end of the intervention were significantly different from those at the baseline, it was also indicated better health outcomes (p<.05) and (4) healthy behavior modification model, (1) the investigation of the context, problems and causes regarding health care support in the community, (2) creating individual awareness and the preparation, (3) analyzing the problem and solving model, (4) building guidelines the health behavior modification, (5) developing model, (6) building a health behavior modification leader, (7) organizing activities in chronic disease risk group, (8) monitoring and evaluating and (9) After Action Review